InnoCare Releases 2021 Half Year Results and Business Highlights

On August 29, 2021 InnoCare Pharma (HKEX: 09969), a leading biopharmaceutical company focusing on cancer and autoimmune diseases, reported 2021 half year results which ended on June 30, 2021 (Press release, InnoCare Pharma, AUG 29, 2021, View Source [SID1234586982]).

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Dr. Jasmine Cui, Co-founder, Chairwoman and CEO of InnoCare, said, "On the foundation of solid development in the past five years, we continue to make breakthroughs in various projects in the first half of 2021. Our business development (BD) team made significant progress, reaching out-licensing and in-licensing cooperation with Biogen and Incyte respectively. Our commercial team delivered a satisfactory result as we entered into the lymphoma market for the first time. Our R&D and clinical development projects have been progressing well. To conclude, we are continuously achieving our milestones."

Financial Highlights

Sales revenue increased from 0.7 million for the six months ended on June 30, 2020 to 101.7 million for the six months ended on June 30, 2021, due to sales from orelabrutinib.
Other income and gains increased by 69% year-on-year (YOY), from 50.6 million for the six months ended on June 30, 2020 to 85.3 million for the six months ended on June 30, 2021.
Our cash and bank balances increased by 58%, from 3.9696 billion by the end of 2020 to 6.2548 billion by the end of June 30, 2021.
The loss for the period decreased by 37%, from 337.4 million for the six months ended on June 30, 2020 to 213.1 million for the six months ended on June 30, 2021.
(Note: Currency: RMB)

Latest Corporate Development

On July 13, InnoCare entered into a license and collaboration agreement for orelabrutinib for the potential treatment of multiple sclerosis (MS) with Biogen.
Under the terms of the agreement, InnoCare will receive a US$125 million upfront payment and is eligible to receive up to US$812.5 million in potential development milestones and potential commercial payments should the collaboration achieve certain development, commercial milestones and sales thresholds. InnoCare is also eligible to receive tiered royalties in the low to high teens on potential future net sales of any product resulting from the collaboration. Biogen will have exclusive rights to orelabrutinib in the field of MS worldwide and certain autoimmune diseases outside of greater China (mainland China, Hong Kong, Macau and Taiwan), while InnoCare will retain exclusive worldwide rights to orelabrutinib in the field of oncology and certain autoimmune diseases in greater China.
The partnership with Biogen will further unleash commercial value of orelabrutinib.
On August 17, a subsidiary of InnoCare entered into a collaboration and license agreement for the development and commercialization of tafasitamab with Incyte, a humanized Fc-modified cytolytic CD-19 targeting monoclonal antibody, in Greater China. Under the terms of the agreement, InnoCare will receive the rights to develop and exclusively commercialize tafasitamab in hematology and oncology in greater China. InnoCare will pay Incyte US$35 million up front, and Incyte is eligible to receive up to an additional US$82.5 million in potential development, regulatory and commercial milestones, as well as tiered royalties.
Tafasitamab got market approval in the U.S. and Europe. The in-licensing will further strengthen InnoCare’s drug portfolio.
Product Highlights and Milestones
Orelabrutinib

Orelabrutinib has been included in the Chinese Society of Clinical Oncology (CSCO) Diagnosis and Treatment Guidelines for Malignant Lymphoma 2021 and is listed as Class I recommended regimen for the treatment of r/r CLL/SLL and r/r MCL.
Over 400 patients have been treated with orelabrutinib across our B-cell malignant cancer trials. The clinical data indicate that orelabrutinib’s high target selectivity and exceptional target occupancy rate have resulted in favorable safety and efficacy profiles. There are multiple registrational and exploratory trials ongoing.
The registrational trail for r/r waldenstrom’s macroglobulinemia (WM) has completed patient enrollment. It is expected to submit the new drug application (NDA) in the first half of 2022.
The registrational trial for r/r marginal zone lymphoma (r/r MZL) is expected to complete patient enrollment in 2021 and submit NDA in 2022.
Phase III trial for first-line treatment of CLL/SLL is expected to complete in 2023.
Phase III trial of orelabrutinib in combination with R-CHOP as a first-line treatment for MCL is ongoing.
Phase I/IIa trial of orelabrutinib in combination with next generation CD20 antibody MIL-62 for the treatment of B-cell Non-Hodgkin lymphoma (NHL) in a basket trial is ongoing. InnoCare will announce its latest clinical data in the upcoming European Society for Medical Oncology (ESMO) (Free ESMO Whitepaper) on Sept. 16 of 2021.
In the U.S., Phase II trial for r/r MCL is expected to complete in 2022. In June 2021, U.S. Food and Drug Administration (FDA) has granted Breakthrough Therapy Designation (BTD) to orelabrutinib for the treatment of r/r MCL.
In addition to oncology, we are exploring orelabrutinib as a treatment therapy for various auto-immune diseases.

In the U.S., the first patient was dosed in Phase II trial for MS. This trial is being conducted globally, with active patient enrollment in Europe and China.
In China, Phase II trial for systemic lupus erythematosus (SLE) is expected to complete enrollment of 60 patients by October of this year and plan to announce the results in the first quarter of 2022.
Phase II clinical trial of orelabrutinib for the treatment of immune thrombocytopenia purpura (ITP) was approved by the NMPA and phase II study is being actively initiated
ICP-192 (gunagratinib)

InnoCare presented the latest clinical data at the 2021 American Society of Clinical Oncology (ASCO) (Free ASCO Whitepaper) annual meeting. As of February 2021, a total of 30 patients had received the treatment of gunagratinib. Gunagratinib performed well in safety and tolerance, the maximum tolerated dose (MTD) had not been reached. Among the 12 patients with FGF/FGFR gene aberrations who have completed at least one tumor assessment, the overall response rate (ORR) was 33.3%, including 1 patient (8.3%) of cholangiocarcinoma with complete response (CR) and 3 patients (25%) with partial response (PR), 7 patients achieved SD. The disease control rate (DCR) was 91.7%.
Continue to advance phase II trial of advanced cholangiocarcinoma. Dose escalation in advanced solid tumors, aiming at expanding more indications with higher dose.
Gunagratinib was granted Orphan Drug Designation (ODD) for the treatment of cholangiocarcinoma by the U.S. FDA. Phase I trial is expected to complete in the first half of 2022.
ICP-723

In the Phase I dose escalation study (1mg, 2mg, 3mg and 4mg), ICP-723 showed efficacy in two patients with qualified neurotrophic tyrosine receptor kinase (NTRK) fusion. The NTRK fusion positive patient in 3 mg cohort reached stable disease (>20% tumor reduction) and the patient in 4 mg cohort achieved partial response (PR) at the first tumor assessment at the end of cycle 1, or day 28.
In the U.S., IND application was accepted for the treatment of NTRK fusion positive cancers.
ICP-332
In May 2021, the NMPA approved Phase I clinical trial of novel tyrosine kinase 2 ("TYK2") inhibitor, ICP-322. The first subject dosing was completed in August 2021. ICP-332 will be used to treat autoimmune diseases such as psoriasis, atopic dermatitis, etc.

ICP-033
The IND application for ICP-033 was approved by the NMPA in June 2021. ICP-033 is a novel Receptor Tyrosine Kinase (RTK) inhibitor and is intended to be used alone and in combination with immunotherapies and other targeted drugs for liver cancer, renal cell carcinoma, colorectal cancer and other solid tumors.

In addition to the above innovative drugs, we also have 5-7 IND-enabling stage drug candidates as below:

In the field of autoimmune diseases, ICP-488 is a small molecule binder of the pseudokinase domain (Janus Homology 2 or JH2) of TYK2, which is developed for the treatment of inflammatory diseases such as psoriasis and IBD. ICP-490 is a proprietary, orally available small molecule that modulates the immune system and other biological targets through multiple mechanisms of action. By specifically binding to CRL4CRBN-E3 ligase complex, ICP-490 can induce ubiquitination and degradation of transcription factors including Ikaros and Aiolos.
In the field of solid tumors, ICP-189 is a potent oral allosteric inhibitor of SHP2 with excellent selectivity over other phosphatases. ICP-B03 is a tumor-conditional pro-interleukin-15 (IL-15) targeting and changing immune cells inside tumor microenvironment. ICP-915 is a highly potent, selective small-molecule inhibitor against the G12C mutant form of Kirsten Rat Sarcoma (KRAS) viral oncogene homologue. ICP-915 may be developed as a monotherapy and cornerstone molecule for combinatory treatment of KRAS mutant solid tumors by tackling multiple modules of the RTK-RAS-MAPK signaling pathway.
In the field of liquid tumors, ICP-248 is a novel, orally bioavailable B-cell lymphoma-2 (BCL-2) selective inhibitor that is developed to be used as monotherapy and combinational treatment for hematological malignancies. ICP-B02 is a CD20xCD3 bispecific antibody co-developed with Keymed Biosciences for the treatment of lymphoma.
Other Corporate Development

In February, InnoCare brought on Hillhouse as strategic investor and Vivo Capital increased holdings, with total injected US$393 million.
In March, the Company proposed to issue RMB shares on the Science and Technology Innovation Board of the Shanghai Stock Exchange (Proposed Issue of RMB Shares).
In April, InnoCare successfully held the first R&D Day, with in-depth communication with investors and analysts online and offline.
In June, InnoCare launched its Shanghai Office in the New Bund Center.
"Looking forward to the second half of 2021, we will rapidly advance the product pipeline based on our core value of ‘Science drives innovation for the benefit of patients’. Our commercial team will continue to make efforts so that orelabrutinib can benefit more patients. For R&D projects, we will uphold the craftsman spirit of excellence, actively push forward our projects, pursue excellence, and achieve goals with high quality, so that we can achieve more milestones," added Dr. Cui.

To know more about the detailed financial data of InnoCare 2021 half year financial report, please log in View Source .

Conference Call Information

InnoCare will host a conference call on August 30, 2021 at 9:00 a.m. Beijing time. Participants must register in advance of the conference call. Details are as follows:

Registration Link: View Source

Conference ID: 3476988

The call will be conducted in Chinese.

Upon registering, each participant will receive a dial-in number, Direct Event passcode, and a unique access PIN, which can be used to join the conference call.

Innovent to Present New Data on Sintilimab and Other Molecules at the European Society for Medical Oncology (ESMO) Congress 2021

On August 29, 2021 Innovent Biologics, Inc. ("Innovent") (HKEX: 01801), a world-class biopharmaceutical company develops, manufactures and commercializes high quality medicines for the treatment of oncology, metabolic, autoimmune, ophthalmology and other major diseases, reported that it will have multiple scientific data presentations at the European Society for Medical Oncology (ESMO) (Free ESMO Whitepaper) Virtual Congress 2021, held on September 16-21 (Press release, Innovent Biologics, AUG 29, 2021, View Source [SID1234586981]). These presentations include the data from Phase 3 trials of sintilimab in esophageal squamous cell carcinoma and gastric cancer which are disclosed for the first time, as well as results from studies of IBI310 (an anti-CTLA-4 monoclonal antibody) and pemigatinib1 (IBI375, an FGFR1/2/3 inhibitor).

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Details of Innovent’s ESMO (Free ESMO Whitepaper) Congress 2021 presentations are as follows:

Cancer Type: Oesophagogastric Cancer
Topic: Sintilimab plus chemotherapy compared to placebo plus chemotherapy as first-line therapy in patients with advanced or metastatic esophageal squamous cell cancer: First Results of the Phase 3 ORIENT-15 Study
Presentation Type: Mini Oral
Abstract Number: LBA52
Researcher: Professor Lin Shen, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital and Institute, Beijing, China

Cancer Type: Gastric Cancer
Topic: Sintilimab plus chemotherapy compared to placebo plus chemotherapy as first-line therapy for patients with unresectable or metastatic gastric or gastroesophageal adenocarcinoma: First Results of the Phase 3 ORIENT-16 Study
Presentation Type: Mini Oral
Abstract Number: LBA53
Researcher: Professor Jianming Xu, Department of Oncology, The Fifth Medical Center, Chinese PLA General Hospital

Cancer Type: Melanoma
Topic: IBI310 alone or in combination with sintilimab for advanced melanoma: updated results of a Phase 1 study
Presentation Type: e-Poster
Abstract Number: 1516
Researcher: Professor Jun Guo, Peking University Cancer Hospital & Institute, Beijing, China

Cancer Type: Cholangiocarcinoma
Topic: FGFR2 fusion and/or rearrangement profiling in Chinese patients with intrahepatic cholangiocarcinoma
Presentation Type: e-Poster
Abstract Number: 2064
Researcher: Professor Jian Zhou, Zhongshan Hospital, Fudan University, Shanghai, China

Cancer Type: Cholangiocarcinoma
Topic: Efficacy and safety of pemigatinib in Chinese patients with unresectable, advanced/ recurrent or metastatic cholangiocarcinoma with FGFR2 fusion or rearrangement that failed to prior systemic therapy
Presentation Type: e-Poster
Abstract Number: 1810
Researcher: Professor Jian Zhou, Zhongshan Hospital, Fudan University, Shanghai, China

BeiGene and Immix ink collaboration agreement for IMX-110/tislelizumab cancer study

On August 27, 2021 BeiGene (NASDAQ:BGNE) and Immix Biopharma reported a clinical trial and supply agreement to evaluate the safety, tolerability and efficacy of a combination of IMX-110 and tislelizumab for the treatment of various solid tumors (Press release, Immix Biopharma, AUG 27, 2021, View Source [SID1234587963]).

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Under the terms of the agreement, ImmixBio will evaluate the combination of IMX-110 with tislelizumab in a Phase 1/2a trial in patients with advanced solid tumors.

"We have high hopes that IMX-110 in combination with tislelizumab could expand the population of cancer patients experiencing extended remissions," ImmixBio CEO Ilya Rachman said.

NICE ‘no’ for Janssen’s Darzalex combo

On August 27, 2021 Johnson & Johnson reported that The National Institute for Health and Care Excellence (NICE) has published draft guidance stating that it does not recommend it’s Darzalex (daratumumab) plus bortezomib, thalidomide and dexamethasone, as a treatment option for untreated multiple myeloma in adults who are eligible for an autologous stem cell transplant (Press release, Johnson & Johnson, AUG 27, 2021, View Source [SID1234586980]).

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Currently, most individuals with this condition receive a combination of bortezomib plus thalidomide and dexamethasone (VTd) prior to their stem cell transplant.

Clinical trial evidence suggests that people treated with Darzalex plus bortezomib, thalidomide and dexamethasone live longer and have more time before their tumour progresses, compared to individuals treated with bortezomib plus VTd alone.

However, the UK regulatory body expressed concerns around the long-term effectiveness of the combination treatment, as well as its cost-effectiveness, which is ‘most likely’ higher than what NICE normally considers an acceptable use of NHS resources.

In 2020, the European Commission (EC) granted Darzalex combined with VTd a marketing authorisation for newly diagnosed, transplant eligible patients with multiple myeloma.

Multiple myeloma is an incurable blood cancer that starts in the bone marrow and is characterised by an excessive proliferation of plasma cells. In Europe, more than 48,200 people were diagnosed with the disease in 2018, with more than 30,800 deaths related to the disease.

Gilead Wins a Patent Battle in CAR-T War with BMS

On August 27, 2021 Gilead Sciences and Bristol Myers Squibb Company reported that they are competing in the CAR-T space clinically and in the courts (Press release, Gilead Sciences, AUG 27, 2021, View Source [SID1234586979]). And Gilead won the most recent battle when a U.S. appeals court threw out a $1.2 billion ruling against the company.

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Bristol Myers Squibb has alleged that Gilead and its Kite Pharma unit’s Yescarta (axicabtagene ciloleucel) infringed on the patent for its own CAR-T therapy, lisocabtagene maraleucel (liso-cel). BMS acquired Celgene, the parent company of Juno Therapeutics, in 2019 for $74 billion. Juno spun out of the Fred Hutchinson Cancer Research Center in 2013. In 2018, Celgene acquired Juno for $9 billion. The patent battle was over a Juno patent that it licensed from Memorial Sloan Kettering Cancer Center (MSKCC).

In February 2021, the FDA approved BMS’s liso-cel under the brand name Breyanzi for adults with certain forms of large B-cell lymphoma after two or more previous therapies.

Juno brought the original case against Kite in 2017. In 2019, a jury found that Kite willfully infringed on the Juno and MSKCC patent and awarded them $778 million. U.S. District Judge Philip Gutierrez increased the award to $1.2 billion last year in Los Angeles federal court.

The appeals ruling reversed the decision. BMS stated it disagreed with this ruling and would seek a review of the decision.

Chief U.S. Circuit Judge Kimberly Moore wrote for the three-judge appeals panel, which unanimously decided that the relevant parts of Juno’s patent were invalid. The decision stated that the sections of the patent had insufficient written description and details. The other two judges were Sharon Prost and Kathleen O’Malley.

In an oral argument in July, Judge Moore compared the patent’s description to attempting to identify a specific car by stating it has four wheels.

CAR-T (chimeric antigen receptor T-cell) therapy is where T-cells are isolated from a cancer patient, engineered in the laboratory by adding a gene for a chimeric antigen receptor (CAR), grown, then infused back into the patient. There, they become a living therapy highly tuned to attack the patient’s cancer.

Kite’s argument is built on a written description of the ‘190 patent, specifically around the single-chain antibody variable fragment (scFv). This fragment recognizes and binds to specific tumor antigens in order for a CAR-T cell to attack cancer cells. Kite’s argument was the patent was invalid because it covered "millions of billions of" possible scFv candidates without describing its specific structural features or specifics about which scFvs would function. In their argument, the written description wasn’t detailed enough to meet the requirements of the patent laws. The appeal judges agreed with the argument.

In the judges’ opinion, they wrote that the evidence doesn’t support the jury’s finding that the ‘190 patent "disclosed sufficient information to show the inventors possessed the claimed genus of functional CD19-specific scFvs as part of their claimed CAR. Without more guidance, in a vast field of possible CD19-specific scFvs with so few of them known, no reasonable jury could find the inventors satisfied the written description requirement."

The best-known examples of cell therapies are CAR-T products, such as Gilead Sciences/Kite’s Yescarta (axicabtagene ciloleucel) for non-Hodgkin lymphoma, acute lymphoblastic leukemia, mantle cell lymphoma, and other indications, and Novartis’ Kymriah (tisagenlecleucel), approved for acute lymphoblastic leukemia, chronic lymphoid leukemia, diffuse large B-cell lymphoma, as well as others.

Yescarta was developed by Kite Pharma. Gilead acquired Kite for $11.9 billion in 2017.